Whalio Doctors

NPI 1063701217

Sean D Anderson, DO

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Ogden, UT

Practice location

Address
5405 S 500 E STE 202, Ogden, UT 84405-7419
Phone
(801) 475-1928
Fax
(801) 475-1808
Mailing address
PO Box 741729, Atlanta, GA 30374-1729

Registered specialties (3)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 5585387-1204 (UT)
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence O-0868 (ID)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1063701217
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Mar 2011
Record last updated
15 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.